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Participants completed questionnaires at 1 and 4 months following peer educator interventions. Overall HIV testing at 1 month was Four-month rates were At 1 month, the majority of HIV tests were self-tests There were 4 instances of intimate partner violence related to study participation, 3 of which were related to HIV self-test use.
Limitations include the self-reported nature of study outcomes and overall high uptake of HIV testing. PLoS Med 14 11 : e This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
OraQuick HIV self-tests were obtained from the manufacturer at cost. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist. In particular, the guidelines recognize the importance of the development of new approaches such as HIVST for members of key populations that frequently have lower uptake of HIV testing services due to multilevel factors such as healthcare provider stigma [ 4 , 5 ] and lack of legal protection [ 6 ].
Oral HIVST has been shown to be acceptable in diverse populations globally, and provision of HIV self-tests has been shown to increase HIV testing compared to standard testing services in some populations [ 7 — 10 ].
Although there are limited data on the HIV care continuum for FSWs, available estimates suggest that all indicators are far behind the targets [ 13 — 15 ]. The second arm is important because it mirrors the likely approach countries will take in providing routine access to HIVST.